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Vestibular (V1) - Coggle Diagram
Vestibular (V1)
What I Know
vestibular system
peripheral input
Sensory organs
otoliths
semicircular canals
excitation = contralateral inhibition
rotational, frontal, horizontal
CN 8
afferent signals to brain stem
stereocilia
head movements
central processing
Where in brain stem?
where is information sent to?
motor output
eye movement
balance
posture
Dysfunction
peripheral
BPPV
Central
VBI
Stroke
Trauma
Cerebellar pathology
BPPV
Crystals from otoliths in SCC
Common in older populations
How common?
Post head injury
Vertigo related to head position
Unsteadiness + falls
Dix-hallpike manoeuvre
Dependent on nystagmus observed
Upbeat + ipsilateral = posterior
Physio
Assessment
Balance
Eye movement
smooth pursuit
nystagmus
head-impulse
subjective
red flags
5D's and 3N's
treatment
Log roll / Epley
Feelings
low confidence
limited exposure
required lots of study to understand within bachelor degree
lots of information
not utilised daily within practice
difficult to apply knowledge
forgotten information
good opportunity to revise
Difficulties
specialised service within hospital
pts referred to vestibular PT
not practiced
difficulty applying knowledge
Opportunities
Complete module
Refresh knowledge of vestibular system
Refresh PT input
Assessment
Diagnosis
Treatment